Account Resolution Specialist Collector Prime Healthcare Services IncAccount Resolution Specialist CollectorLynwood, CA$23–$28 / hourThe exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0million patient visits annually.
Sleep Apnea Medical Biller Aava InternationalSleep Apnea Medical BillerIrvine, CAFull timeZapZzz is a specialized sleep apnea treatment program with a mission of improving patients’ overall health and quality of life by providing advanced, patient-centered solutions for sleep apnea. The Medical Biller will be responsible for accurately preparing, submitting, and managing insurance claims related to sleep apnea treatment and oral appliance therapy.
Medical Biller - Multi Specialty Provider Little Scholars ServicesMedical Biller - Multi Specialty ProviderMission Viejo, CAPart timeAs a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information.
Financial Specialist II (50520) Western GrowersFinancial Specialist II (50520)Irvine, CAReconcile and maintain accuracy of group ledger accounts by matching incoming payments to corresponding invoices, promptly investigating and resolving discrepancies, collaborating with internal teams and external partners to make adjustments, and maintaining thorough documentation to support audit trails. Knowledge of generally accepted Health Care Eligibility and Billing procedures as well as Health Insurance Portability and Accountability Act (HIPAA), Consolidated Omnibus Budget Reconciliation Act (COBRA), Cal-COBRA, Multiple Employer Welfare Arrangement (MEWA) and Employee Retirement Income Security Act (ERISA) regulations.
CCSB Eligibility Specialist I (50509) Western GrowersCCSB Eligibility Specialist I (50509)Irvine, CAUnder the direction of the Director, Operations, the Child Care Providers United (CCPU) Eligibility Specialist I is responsible for performing enrollment and billing functions necessary to maintain Child Care Providers United accounts on the CCPU Portal and Healthcare Common Procedure Coding System (HCPS) as assigned. Assist in reviewing and processing all manual and/or Electronic Data Interchange (EDI) enrollment transactions (adds, changes, terminations) in HCPS as received from CCPU, providers, or internal sources in accordance with Participation Agreements, Employer Policy Statements, Eligibility Guidelines and Summary Plan Descriptions.
Group Set-Up Specialist (50519) Western GrowersGroup Set-Up Specialist (50519)Irvine, CAResponsible for set-up and rate structure of new groups, maintaining and updating existing groups/clients for Western Growers Assurance Trust (WGAT), and Pinnacle Claims Management Inc. (PCMI) using the Health Care Processing System (HCPS). Proven project management abilities -including time and task management, delegating assignments, and working collaboratively to meet deadlinesInternet access provided by a cable or fiber provider with 40 MB download and 10 MB upload speeds.
Senior Claims Specialist Crum & ForsterSenior Claims SpecialistORANGE, CaliforniaRemoteWith our employee-first focus, the Company is consistently recognized as a great place to work, earning multiple workplace and wellness awards, including the Great Place to Work® Award, Fortune 100 Best Companies to Work For, Fortune Best Workplaces for Parents, Fortune Best Workplaces for Millennials, and many others. Salary ranges are available for all positions at this location, taking into account roles with a comparable level of responsibility and impact in the relevant labor market and these salary ranges are regularly reviewed and adjusted in accordance with prevailing market conditions.
Account Resolution Specialist Collector Prime Healthcare Management IncAccount Resolution Specialist CollectorLynwood, California$23–$28 / hourFull timeThe exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0million patient visits annually.
Personal Injury Litigation Attorney - TalentZok TalentZokPersonal Injury Litigation Attorney - TalentZokIrvine, CAFULL DESCRIPTION: The selected candidate will be responsible for:Independently negotiate medical liens with healthcare providers, insurance companies, and other relevant parties to secure optimal resolutions for our clients. Immediate opening for a Personal Injury Litigation Attorney in Irvine, CA who possesses: 7+ years of personal injury experience with a focus in trial.
Utilization Management Coordinator II AltaMed Health Services CorpUtilization Management Coordinator IIMontebello, CA$26.92–$33.65 / hourMinimum 2 years of experience working in a medical billing environment (IPA or HMO preferred), with pre-authorizations and reimbursement regulations about Medi-Cal, CCS, and other government programs required. This Coordinator II of Utilization Management is responsible for providing support to the Medical Management department to ensure the timeliness of outpatient or inpatient referral/authorization processing per state and federal guidelines.
Coder II Apidel TechnologiesCoder IICosta Mesa, CAContractorAs an essential role and focal point of all government audit activity, the Government Recovery Specialist is responsible for responding to correspondence from Government Agencies related to Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Targeted Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), Quality Improvement Organizations (QIO) and other Medicaid, Medi-Cal regulatory auditing body for pre and post payment audits. Utilization Management Process, Word, Comprehensive Error Rate Testing (Cert), Office Of Inspector General (Oig), Medicaid Audits, Medi-Cal Audits Outlook, Acute Care Experience, Government Audits, Coding, Medical Necessity Criteria, CMS Billing, payment methodologies, reimbursement methodologies, privacy regulations.
Medical Biller Ultimate Staffing ServicesMedical BillerLaguna Hills, California$25–$28 / hourThis is a temporary assignment, ideal for someone with a strong background in healthcare administration who can bring professionalism, organization, and empathy for a seamless transition process. Ultimate Staffing is seeking an experienced Medical Biller to support the closure of a medical practice in Laguna Hills, CA.
Medical Assistant - Referral Clerk NORTHEAST COMMUNITY CLINIC, INCMedical Assistant - Referral ClerkBell, CAThe employee is regularly required to communicate, frequently required to use repetitive motions, move, remain stationary, regularly push, pull and lift up to 20 pounds and occasionally push, pull and lift up to 40 pounds. Document patient intake in the Electronic Health Record (EHR), which includes chief complaint, medical history, social history, vitals, and appropriate tests/labs performed and immunizations administered.
Collections Specialist TaxRiseCollections SpecialistIrvine, CaliforniaThis position involves communicating with clients, lenders, and internal teams to collect outstanding payments, ensure early intervention on delinquent accounts, and provide timely case updates to clients. The Collections Specialist plays a key role in supporting client satisfaction and financial success by managing payment collections and resolving billing issues.
NewDeveloper Services Specialist FirstService ResidentialDeveloper Services SpecialistIrvine, CA$26–$31.25 / hourFull timeThe Developer Services Department is a specialized, customer facing department that handles all developer related association matters for new developments, including new community phasing, processing initial sales, budget updates and implementation, billing unsold lots, and reviewing bond status. Requesting Information About the AEDT - NYC Local Law 144: Candidates who reside in New York City and are subject to NYC Local Law 144 may request information about the AEDT, including details on the type of data collected, the sources of such data, and our data retention policies.
Patient Care Coordinator Upperline Health IncPatient Care CoordinatorCAUpperline Health providers coordinate patients' care among a team of physician specialists, nurse practitioners, care navigators, nutritionists, social workers, and pharmacists for integrated treatment that addresses patients' immediate and long-term health needs. The Patient Care Coordinator will be responsible for medical front desk receptionist duties including greeting patients in a friendly manner, and ensuring patients are accurately checked in and prepared for their appointments in a timely manner.
Medical Biller Alfred A Sidhom M D IncMedical BillerAnaheim, CAFull timeThe ideal candidate will have a strong understanding of medical billing procedures and insurance guidelines from claim submission to payment collection, Medical Biller/Collector must have experience in handling insurance denials and appeals. Timely submission of claims to variety of insurance payers including PPO's, HMO's, Medicare, Medi-Cal, and CalOptima.
Collector (facility/hospital) Ledgent Finance & AccountingCollector (facility/hospital)Corona, California$23 / hourResponsibilities include resolving facility and hospital billing issues, following up on unpaid accounts over 120 days, maintaining a minimum of 50 accounts worked per day, and ensuring accurate billing and registration processes. Candidates should have medical billing and collections experience, strong account follow-up skills, and the ability to work in a fast-paced environment.
Medical Assistant II - Newport Beach Multispecialty Clinic - Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern CaliforniaMedical Assistant II - Newport Beach Multispecialty Clinic - Full Time 8 Hour Days (Non-Exempt) (Non-Union)Newport Beach, CA$22–$34.18 / hourAs a Medical Assistant II, the incumbent will provide support to medical care providers in an outpatient/clinic setting such as, but not limited to, room patients, set up equipment and instruments, assist providers with performing, exams and procedures, cleans and stocks exam rooms, and provides proper documentation in electronic patient chart. In addition, the Medical Assistant II will provide administrative and front office support including greeting patients, performing patient check-in/out processes, collecting patient payments, performing insurance verification, scheduling procedures, patient follow-up appointments and/or ancillary testing, obtaining records/authorizations, and creating encounter(s) in patient registration system(s).
Patient Care Coordinator Upperline HealthPatient Care CoordinatorOrange City, CaliforniaUpperline Health providers coordinate patients’ care among a team of physician specialists, nurse practitioners, care navigators, nutritionists, social workers, and pharmacists for integrated treatment that addresses patients’ immediate and long-term health needs. The Patient Care Coordinator will be responsible for medical front desk receptionist duties including greeting patients in a friendly manner, and ensuring patients are accurately checked in and prepared for their appointments in a timely manner.